NPI | 1396918462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 219855-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 219855-4405) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2022-10-23 |