NPI | 1972275501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 12751401-4405) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 68854) |
Enumeration Date | 2021-10-01 |
Last Update Date | 2023-09-12 |