NPI | 1922570886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1069773) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 900299) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2022-02-03 |