NPI | 1003521261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1108368) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F01230137) |
Enumeration Date | 2023-01-20 |
Last Update Date | 2023-01-20 |