NPI | 1205691029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1194777) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2343792) |
Enumeration Date | 2024-02-20 |
Last Update Date | 2025-09-16 |