NPI | 1174713754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1088078) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 652804) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2024-08-26 |