NPI | 1194491449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046573) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 769237) |
Enumeration Date | 2021-08-17 |
Last Update Date | 2021-09-14 |