NPI | 1114650884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1075599) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 1075599) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-07-08 |
Last Update Date | 2024-06-25 |