NPI | 1710588355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1019451) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1019451) |
Enumeration Date | 2020-11-02 |
Last Update Date | 2024-11-06 |