NPI | 1801455266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 207482) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137956) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2025-04-16 |