NPI | 1225515158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1049212) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 899917) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2023-12-15 |