NPI | 1255004271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1048104) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1048104) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2023-01-03 |