NPI | 1689026908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1034420) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004499) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308280) | |
Enumeration Date | 2016-07-11 |
Last Update Date | 2024-04-30 |