NPI | 1265677926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 753706) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335548) |
Enumeration Date | 2008-12-10 |
Last Update Date | 2008-12-10 |