NPI | 1003382037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP139312) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139312) |
Enumeration Date | 2018-10-17 |
Last Update Date | 2021-04-09 |