NPI | 1780335273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141791) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F349035) |
Enumeration Date | 2022-01-16 |
Last Update Date | 2023-12-11 |