NPI | 1912584632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1009459) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1009459) |
Enumeration Date | 2021-03-27 |
Last Update Date | 2023-05-10 |