NPI | 1033674932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137999) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP137999) |
Enumeration Date | 2019-02-05 |
Last Update Date | 2021-12-02 |