NPI | 1386180719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133172) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 777865) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2019-06-10 |