NPI | 1376263137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1096153) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F08221039) |
Enumeration Date | 2022-08-31 |
Last Update Date | 2022-10-18 |