NPI | 1689442774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191232) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08230579) |
Enumeration Date | 2023-12-18 |
Last Update Date | 2024-09-17 |