NPI | 1336392281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129954) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 124028) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2021-06-03 |