NPI | 1053010587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1112698) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 601760) |
Enumeration Date | 2023-02-23 |
Last Update Date | 2023-03-09 |