NPI | 1134950819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1170778) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 853454) |
363L00000X Nurse Practitioner (Licence: TX 1170778) | |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-08-15 |