NPI | 1164454583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 512383) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 512383) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2016-09-22 |