NPI | 1790497402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1100693) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1100693) |
Enumeration Date | 2022-12-14 |
Last Update Date | 2024-03-06 |