NPI | 1346095064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 2024008970) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 941254) |
Enumeration Date | 2024-04-17 |
Last Update Date | 2024-09-17 |