NPI | 1083348312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099959) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 879460) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2024-05-30 |