NPI | 1285214205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10216868-4405) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 10216868-4405) |
Enumeration Date | 2021-04-13 |
Last Update Date | 2024-04-22 |