NPI | 1093950115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP117352) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 689425) |
Enumeration Date | 2008-12-03 |
Last Update Date | 2024-05-28 |