NPI | 1083751762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP109591) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109591) |
363LF0000X Nurse Practitioner, Family (Licence: TX 554347) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2019-08-16 |