NPI | 1386417301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1154694) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: TX 971942) |
Enumeration Date | 2023-11-01 |
Last Update Date | 2025-06-24 |