NPI | 1225542293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136460) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 862166) |
Enumeration Date | 2017-11-28 |
Last Update Date | 2021-02-25 |