NPI | 1437808490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355703) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1053472) |
Enumeration Date | 2022-03-18 |
Last Update Date | 2025-02-19 |