NPI | 1710524392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 682547) |
Enumeration Date | 2019-12-03 |
Last Update Date | 2022-02-17 |