NPI | 1982432449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1170962) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1170962) |
Enumeration Date | 2024-07-24 |
Last Update Date | 2024-11-07 |