NPI | 1114459732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX Ap133854) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F03170517) |
Enumeration Date | 2017-04-02 |
Last Update Date | 2023-03-21 |