NPI | 1083953681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX ap1314245) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306260) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2023-03-01 |