NPI | 1508595448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1085944) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 923776) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2024-05-29 |