NPI | 1457504037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 712823) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP117267) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2024-08-09 |