NPI | 1972254183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1059310) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1059310) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1059310) | |
Enumeration Date | 2022-01-10 |
Last Update Date | 2024-02-12 |