NPI | 1124423124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126056) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 719144) |
Enumeration Date | 2014-11-03 |
Last Update Date | 2015-09-23 |