NPI | 1164180501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070152) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: TX 789104) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2022-02-09 |