NPI | 1477374437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1178494) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1178494) |
Enumeration Date | 2024-10-22 |
Last Update Date | 2024-12-13 |