NPI | 1114329687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126530) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 742405) |
Enumeration Date | 2014-09-16 |
Last Update Date | 2020-05-04 |