NPI | 1396036273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 728330) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX Ap120447) |
Enumeration Date | 2011-04-26 |
Last Update Date | 2024-05-20 |