NPI | 1538617964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5572357-4405) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 5572357-4405) |
363LA2200X Nurse Practitioner, Adult Health (Licence: UT 5572357-4405) | |
Enumeration Date | 2016-09-14 |
Last Update Date | 2025-02-06 |