NPI | 1942453477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 25688) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 200450) |
363LA2100X Nurse Practitioner, Acute Care (Licence: LA 81793-5630) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 645982) | |
Enumeration Date | 2008-10-28 |
Last Update Date | 2024-11-25 |