NPI | 1013375302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 251907) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112472) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |