NPI | 1144988304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1056595) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1056595) |
Enumeration Date | 2021-12-06 |
Last Update Date | 2025-06-18 |