NPI | 1356901003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7798787-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7798787-4405) |
Enumeration Date | 2019-06-15 |
Last Update Date | 2021-11-17 |