NPI | 1861116626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1147398) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1147398) |
363LF0000X Nurse Practitioner, Family (Licence: NV 834876) | |
Enumeration Date | 2022-09-26 |
Last Update Date | 2024-11-15 |