NPI | 1609450048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1047239) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021013564) |
Enumeration Date | 2021-05-11 |
Last Update Date | 2024-09-25 |