NPI | 1073684353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP111914) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 255623) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2019-11-05 |