NPI | 1922872274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10069868-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10069868-3102) |
Enumeration Date | 2023-11-07 |
Last Update Date | 2024-05-06 |