NPI | 1235570888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123991) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 530602) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2024-08-07 |