NPI | 1447869540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018214) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 915368) |
Enumeration Date | 2020-07-24 |
Last Update Date | 2023-09-22 |