NPI | 1962175737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1038724) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1038724) |
363L00000X Nurse Practitioner (Licence: TX 1038724) | |
Enumeration Date | 2021-07-28 |
Last Update Date | 2023-02-21 |