NPI | 1356650196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990577-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 546701) |
Enumeration Date | 2010-09-28 |
Last Update Date | 2017-10-24 |