NPI | 1205535887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1129598) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 754664) |
Enumeration Date | 2023-03-02 |
Last Update Date | 2023-10-27 |