NPI | 1043817026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 627780) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1011140) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1011140) | |
Enumeration Date | 2020-10-03 |
Last Update Date | 2024-03-25 |