NPI | 1427676378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144949) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 818224) |
163WG0000X Registered Nurse, General Practice (Licence: TX AP144949) | |
Enumeration Date | 2020-07-08 |
Last Update Date | 2022-12-28 |