NPI | 1417348657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127441) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127441) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2020-07-16 |