NPI | 1649904368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1087098) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1087098) |
Enumeration Date | 2022-07-11 |
Last Update Date | 2024-04-22 |