NPI | 1972120574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1026698) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1026698) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-06-30 |
Last Update Date | 2023-01-11 |