NPI | 1265085138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142172) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP142172) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2021-03-17 |