NPI | 1245470095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP110119) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 559134) |
Enumeration Date | 2009-03-05 |
Last Update Date | 2018-12-06 |