NPI | 1245887538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 197265) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP14098) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2024-04-08 |