NPI | 1356591713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 778564) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP118789) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN231598) | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2024-02-06 |