NPI | 1346560273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118441) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 249480) |
363LF0000X Nurse Practitioner, Family (Licence: TX 249480) | |
Enumeration Date | 2010-06-02 |
Last Update Date | 2023-03-15 |