NPI | 1083083026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8873) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 880336) |
363L00000X Nurse Practitioner (Licence: TX AP128693) | |
Enumeration Date | 2015-09-21 |
Last Update Date | 2020-10-01 |