NPI | 1073953766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP123745) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 745136) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2024-12-03 |