NPI | 1336308956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 650427) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 650427) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115969) | |
363LF0000X Nurse Practitioner, Family (Licence: TX AP115969) | |
Enumeration Date | 2008-06-09 |
Last Update Date | 2021-08-26 |