NPI | 1245501170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 810393) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75577-092) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2024-05-09 |