NPI | 1184065054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129270) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658096-1) |
363L00000X Nurse Practitioner (Licence: NY F338509) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2020-07-15 |