NPI | 1619620614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1057778) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1057778) |
Enumeration Date | 2022-01-31 |
Last Update Date | 2024-01-05 |