NPI | 1174097299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 251994) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140056) |
Enumeration Date | 2019-01-11 |
Last Update Date | 2024-02-08 |