NPI | 1134437056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119216) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 77209) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2024-10-02 |