NPI | 1184202525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1068757) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 218910) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2023-03-09 |