NPI | 1518479559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1086580) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704256182) |
Enumeration Date | 2017-10-31 |
Last Update Date | 2025-06-27 |