NPI | 1144650805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 704818) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP124789) |
Enumeration Date | 2013-11-17 |
Last Update Date | 2023-06-26 |