NPI | 1306577226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1023897) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 4704325738) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704325738) | |
Enumeration Date | 2022-06-21 |
Last Update Date | 2024-08-08 |