NPI | 1780164004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 920619) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1107527) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2023-03-25 |