NPI | 1851970305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1055480) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 781432) |
Enumeration Date | 2021-04-02 |
Last Update Date | 2024-03-29 |