NPI | 1497356752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028633) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 00000) |
Enumeration Date | 2020-11-03 |
Last Update Date | 2024-03-24 |