NPI | 1902022502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 4924659-4405) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: UT 4924659-3102) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2023-06-17 |