NPI | 1467281501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1180876) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 665684) |
Enumeration Date | 2024-07-29 |
Last Update Date | 2025-02-07 |