NPI | 1952979593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1150184) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TX 815139) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2024-02-29 |