NPI | 1306306477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX 29504) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 29504) |
Enumeration Date | 2019-03-23 |
Last Update Date | 2019-03-23 |