NPI | 1992318331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1029679) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: LA 215543) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1029769) | |
363LF0000X Nurse Practitioner, Family (Licence: LA 215543) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1029679) | |
Enumeration Date | 2020-08-25 |
Last Update Date | 2024-07-23 |