NPI | 1033434006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 342749-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 342749-3102) |
Enumeration Date | 2010-04-02 |
Last Update Date | 2024-07-24 |