NPI | 1326072398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2209302) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137457) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-02-15 |