NPI | 1184404048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11772478-4405) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: UT 11772478-3102) |
Enumeration Date | 2023-09-28 |
Last Update Date | 2024-01-26 |