NPI | 1437439528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130528) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150095NP) |
363LF0000X Nurse Practitioner, Family (Licence: WA 60240512) | |
Enumeration Date | 2011-08-22 |
Last Update Date | 2021-09-15 |