NPI | 1164865564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122819) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07101) |
363LF0000X Nurse Practitioner, Family (Licence: TX 823212) | |
Enumeration Date | 2013-04-16 |
Last Update Date | 2020-10-01 |