NPI | 1750984886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099795) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 202488) |
363LF0000X Nurse Practitioner, Family (Licence: LA 202488) | |
Enumeration Date | 2020-11-20 |
Last Update Date | 2024-06-11 |