NPI | 1942285846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 640472) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 640472) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2011-03-01 |