NPI | 1235647157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135858) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70625) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2023-11-09 |