NPI | 1114521358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1050450) |
Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: TX 770994) |
Enumeration Date | 2020-11-29 |
Last Update Date | 2025-07-15 |