NPI | 1467148494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1138347) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 75498) |
Enumeration Date | 2023-04-13 |
Last Update Date | 2024-11-19 |