NPI | 1760075485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1018542) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018542) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2023-07-18 |