NPI | 1609442391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1075249) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1075249) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP1075249) | |
363LF0000X Nurse Practitioner, Family (Licence: NM 63272) | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2024-04-10 |