NPI | 1073029567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F12170454) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 765427) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2018-01-02 |