NPI | 1063788065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130185) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 886152) |
Enumeration Date | 2012-03-24 |
Last Update Date | 2023-02-28 |