NPI | 1164699419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 654986) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2021-11-05 |