NPI | 1386263002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1204719) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 988523) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2025-09-22 |