NPI | 1467946111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015231A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137752) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP137752) | |
Enumeration Date | 2018-06-17 |
Last Update Date | 2024-09-03 |