NPI | 1316826001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1211534) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 946873) |
Enumeration Date | 2025-08-28 |
Last Update Date | 2025-08-29 |