NPI | 1003915596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP108733) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 595120) |
207P00000X Emergency Medicine (Licence: TX AP108733) | |
207P00000X Emergency Medicine (Licence: TX 595120) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2024-04-11 |