NPI | 1174230601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1099707) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 618662) |
Enumeration Date | 2022-11-03 |
Last Update Date | 2023-02-08 |