NPI | 1245241066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114625) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 613974) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2023-09-20 |