NPI | 1154748671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125367) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 747144) |
Enumeration Date | 2014-03-21 |
Last Update Date | 2019-12-06 |