NPI | 1184387417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1171404) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 48194) |
Enumeration Date | 2021-10-13 |
Last Update Date | 2024-10-08 |