NPI | 1174334080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX 1000446) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1000446) |
2471S1302X Radiologic Technologist, Sonography (Licence: TX 169948) | |
2471V0105X Radiologic Technologist, Vascular Sonography (Licence: TX 169948) | |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-05-19 |