NPI | 1396138293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128189) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 631403) |
Enumeration Date | 2015-03-17 |
Last Update Date | 2025-07-28 |