NPI | 1417254848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX ap131000) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX apa131000) |
Enumeration Date | 2011-02-21 |
Last Update Date | 2024-01-02 |