NPI | 1083950760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP122940) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 724171) |
Enumeration Date | 2012-12-27 |
Last Update Date | 2020-09-17 |