NPI | 1730688151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28177) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F12170042) |
Enumeration Date | 2018-02-12 |
Last Update Date | 2024-06-26 |