NPI | 1043646581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 629382) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 629382) |
Enumeration Date | 2013-09-16 |
Last Update Date | 2013-09-16 |