NPI | 1316338676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 772041) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 772041) |
363LF0000X Nurse Practitioner, Family (Licence: LA 09723) | |
Enumeration Date | 2015-02-09 |
Last Update Date | 2024-02-27 |