NPI | 1275892093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121522) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
363L00000X Nurse Practitioner (Licence: TX 762114) | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2024-09-16 |