NPI | 1184114985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145999) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006002) |
Enumeration Date | 2018-05-16 |
Last Update Date | 2022-06-21 |