NPI | 1457708257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK M0132275) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 740850) |
Enumeration Date | 2016-05-21 |
Last Update Date | 2024-05-29 |