NPI | 1154977742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP-140653) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140653) |
Enumeration Date | 2019-08-10 |
Last Update Date | 2023-08-22 |