NPI | 1316352339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8811) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP125866) |
363L00000X Nurse Practitioner (Licence: TX 662611) | |
363L00000X Nurse Practitioner (Licence: AZ MSL662611TX) | |
Enumeration Date | 2014-06-27 |
Last Update Date | 2020-09-08 |