NPI | 1437748357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1035042) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS F11200537) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2022-11-30 |