NPI | 1962709105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP119277) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 091158-23) |
363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24455) | |
Enumeration Date | 2011-02-24 |
Last Update Date | 2024-07-08 |