NPI | 1265733422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119561) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 724112) |
363L00000X Nurse Practitioner (Licence: TX AP119561) | |
Enumeration Date | 2010-11-04 |
Last Update Date | 2023-11-27 |