NPI | 1457085938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 1087153) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1087153) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2024-05-08 |