NPI | 1639908338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1177268) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033239) |
Enumeration Date | 2024-07-31 |
Last Update Date | 2025-03-07 |