NPI | 1356719876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129014) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP129014) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2024-06-12 |