NPI | 1144062795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1168965) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 932756) |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-07-30 |