NPI | 1043416803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115067) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 536866) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2022-12-19 |