NPI | 1265111207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 231111) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1128686) |
Enumeration Date | 2023-07-17 |
Last Update Date | 2023-07-20 |