NPI | 1992414536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1100698) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1100698) |
Enumeration Date | 2022-11-22 |
Last Update Date | 2023-05-10 |