NPI | 1477299766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX 1059920) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-05-09 |
Last Update Date | 2022-10-06 |