NPI | 1275521874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 232036) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 232036) |
Enumeration Date | 2005-10-09 |
Last Update Date | 2007-07-09 |