NPI | 1013692938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 961348) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1130183) |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-08-11 |