NPI | 1215518469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1048864) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: TX 903508) |
Enumeration Date | 2021-04-19 |
Last Update Date | 2023-07-26 |