NPI | 1962894808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP127579) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127579) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2023-12-04 |