NPI | 1598112435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 57207) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TX 812896) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2019-08-07 |