NPI | 1669050332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1041225) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 900094) |
Enumeration Date | 2021-04-01 |
Last Update Date | 2023-12-29 |