NPI | 1447809579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143512) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 134377) |
Enumeration Date | 2019-09-11 |
Last Update Date | 2023-12-29 |