NPI | 1346632031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130473) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 812270) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2019-04-04 |