NPI | 1699568055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1195384) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 868297) |
Enumeration Date | 2025-05-27 |
Last Update Date | 2025-05-27 |