NPI | 1164559589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117670) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9232299) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024170572) | |
363LF0000X Nurse Practitioner, Family (Licence: MD R156907) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2018-08-28 |