NPI | 1265990774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61382055) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95076046) |
363L00000X Nurse Practitioner (Licence: TX 1179193) | |
363L00000X Nurse Practitioner (Licence: CA NP95011472) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1179193) | |
Enumeration Date | 2019-03-05 |
Last Update Date | 2024-11-14 |