NPI | 1013550037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142558) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F0319036B) |
363LF0000X Nurse Practitioner, Family (Licence: TX 1013550037) | |
Enumeration Date | 2019-10-22 |
Last Update Date | 2023-04-04 |