NPI | 1457681967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP118057) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 645761) |
363LF0000X Nurse Practitioner, Family (Licence: TX 645761) | |
Enumeration Date | 2010-01-05 |
Last Update Date | 2022-12-09 |