NPI | 1417348897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178412) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28196599A) |
Enumeration Date | 2015-02-06 |
Last Update Date | 2025-04-25 |