NPI | 1356825277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138036) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9374780) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2023-01-03 |