NPI | 1063817849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126745) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX AP126745) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2024-05-30 |