NPI | 1265813273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128241) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08287) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2016-08-26 |