NPI | 1285120873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017581) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134682) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2022-11-29 |