NPI | 1265841282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1194750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004169) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2025-04-21 |