NPI | 1700857141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 118256) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28106989A) |
163W00000X Registered Nurse (Licence: TX 767542) | |
363L00000X Nurse Practitioner (Licence: IN 28106989A) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2023-01-20 |