NPI | 1487418471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1152678) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1152678) |
Enumeration Date | 2024-02-09 |
Last Update Date | 2024-02-23 |