NPI | 1811676901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190946) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1123712) |
Enumeration Date | 2023-07-14 |
Last Update Date | 2025-03-11 |