NPI | 1104287507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130152) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX F0116338) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2025-08-15 |