NPI | 1366984106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132107) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP132107) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2023-11-12 |