NPI | 1013456912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132412) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 816397) |
Enumeration Date | 2017-02-13 |
Last Update Date | 2017-02-13 |