NPI | 1922729102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1096886) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 953936) |
Enumeration Date | 2022-09-07 |
Last Update Date | 2022-11-09 |