NPI | 1144080151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1155162) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1155162) |
207Q00000X Family Medicine (Licence: FL 11031644) | |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-11-06 |