NPI | 1003458431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1088479) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 950492) |
Enumeration Date | 2019-10-17 |
Last Update Date | 2022-08-10 |