NPI | 1790338051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142259) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 851895) |
Enumeration Date | 2019-07-16 |
Last Update Date | 2024-05-16 |