NPI | 1013249887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP119372) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 789120) |
363LF0000X Nurse Practitioner, Family (Licence: KS 53-45901-061) | |
Enumeration Date | 2010-02-04 |
Last Update Date | 2021-12-02 |