NPI | 1215497631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140108) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 140108) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2019-07-23 |