NPI | 1053849406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134700) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX AP134700) |
208000000X Pediatrics (Licence: TX AP134700) | |
Enumeration Date | 2017-05-30 |
Last Update Date | 2023-01-07 |