NPI | 1265995237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140603) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP140603) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2024-05-16 |