NPI | 1215444104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135779) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP135779) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP135779) | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2024-01-30 |