NPI | 1366636060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05299) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 828147) |
363LF0000X Nurse Practitioner, Family (Licence: MS R878132) | |
Enumeration Date | 2007-09-05 |
Last Update Date | 2022-12-05 |