NPI | 1205959004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123585) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN084073 AP05159) |
Enumeration Date | 2007-04-08 |
Last Update Date | 2023-03-01 |