NPI | 1134615461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137826) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX AP137826) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-02-28 |