NPI | 1447978887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1179008) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A182486) |
363LF0000X Nurse Practitioner, Family (Licence: KY 4030627) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209.025800) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 37919) | |
Enumeration Date | 2022-08-22 |
Last Update Date | 2025-01-28 |