NPI | 1962954552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1038873) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 649811) |
Enumeration Date | 2016-10-29 |
Last Update Date | 2024-06-19 |