NPI | 1235209891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP115207) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 614346) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2021-06-08 |