NPI | 1003144452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118591) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 713082) |
Enumeration Date | 2009-11-23 |
Last Update Date | 2025-01-30 |