NPI | 1114467982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133444) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012207) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2022-12-08 |