NPI | 1508548587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1177809) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 922413) |
Enumeration Date | 2023-08-01 |
Last Update Date | 2024-11-27 |