NPI | 1518857903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 9528860-4405) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 95288604405) |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-08-28 |