NPI | 1336552967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 848048) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338006) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2025-09-25 |