NPI | 1043867617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143430) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 839143) |
Enumeration Date | 2019-08-19 |
Last Update Date | 2023-03-30 |