NPI | 1821656414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1191341) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 965828) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2025-05-19 |