NPI | 1184378978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1208419) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 710837) |
Enumeration Date | 2022-02-09 |
Last Update Date | 2025-10-18 |