NPI | 1407621550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX ap144749) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023667) |
363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.018212) | |
Enumeration Date | 2023-11-20 |
Last Update Date | 2023-11-20 |