NPI | 1154156115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1171636) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1171636) |
Enumeration Date | 2024-09-07 |
Last Update Date | 2024-09-19 |