NPI | 1144411158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 699832) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 699832) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2014-07-14 |