NPI | 1003455387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143718) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018938) |
Enumeration Date | 2020-01-03 |
Last Update Date | 2025-07-14 |