NPI | 1174736664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143321) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SD CP000895) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2022-02-14 |