NPI | 1235928425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F06250973) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 899590) |
Enumeration Date | 2025-05-05 |
Last Update Date | 2025-06-19 |