NPI | 1427545482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 12835732-4405) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012751) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2023-02-05 |