NPI | 1437632619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202006642NP-PP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138634) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2020-10-17 |