NPI | 1306266085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08174) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129738) |
363LF0000X Nurse Practitioner, Family (Licence: MS R865820) | |
Enumeration Date | 2014-04-22 |
Last Update Date | 2018-02-08 |