NPI | 1407416647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143309) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 831791) |
Enumeration Date | 2019-06-19 |
Last Update Date | 2024-03-20 |