NPI | 1255058863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099303) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10044066) |
Enumeration Date | 2022-10-24 |
Last Update Date | 2025-06-20 |