NPI | 1265130843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1092634) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1092634) |
Enumeration Date | 2023-02-22 |
Last Update Date | 2024-08-28 |