NPI | 1992389985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1037451) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 762767) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2021-05-18 |