NPI | 1750274700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1179445) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14102973) |
Enumeration Date | 2025-05-29 |
Last Update Date | 2025-05-29 |