NPI | 1851142269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 202343) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1171330) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2025-07-21 |