NPI | 1073238523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1096005) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1096005) |
Enumeration Date | 2022-10-06 |
Last Update Date | 2023-03-20 |