NPI | 1497774525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 218532-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 218532-4405) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2023-12-27 |