NPI | 1205202736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132735) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9321089) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2018-06-19 |