NPI | 1992228571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-59819) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134627) |
363L00000X Nurse Practitioner (Licence: WA AP61046887) | |
Enumeration Date | 2017-07-25 |
Last Update Date | 2025-04-08 |