NPI | 1992367932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX F06190746) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP142043) |
Enumeration Date | 2019-06-30 |
Last Update Date | 2021-12-09 |