NPI | 1023533080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 803122) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134185) |
Enumeration Date | 2017-08-10 |
Last Update Date | 2024-09-17 |