NPI | 1689340978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1037040) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX 1037040) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1037040) | |
Enumeration Date | 2021-08-18 |
Last Update Date | 2023-06-20 |