NPI | 1588294649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1002053) |
Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: TX 874145) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2023-05-09 |