NPI | 1609416650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1022185) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11005653) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2024-09-23 |