NPI | 1518582360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1075705) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 980502) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2022-06-07 |