NPI | 1437401973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 743076) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 743076) |
Enumeration Date | 2012-10-08 |
Last Update Date | 2016-09-08 |