NPI | 1013308543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 106630) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 779163) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2019-03-26 |