NPI | 1346738010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142942) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 825443) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2020-04-13 |