NPI | 1336620541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1147550) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 869506) |
Enumeration Date | 2018-08-25 |
Last Update Date | 2024-01-03 |