NPI | 1770310930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1175469) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 1175469) |
Enumeration Date | 2024-09-19 |
Last Update Date | 2024-09-27 |