NPI | 1861851743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 124576) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130122) |
Enumeration Date | 2016-02-19 |
Last Update Date | 2023-11-27 |