NPI | 1073628574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 879179) |
Additional Taxonomies | 176B00000X Midwife (Licence: TX 99022) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2019-07-27 |