NPI | 1578300232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1123917) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F06240970) |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-10-25 |