NPI | 1457780801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP 124564) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 744688) |
Enumeration Date | 2013-11-06 |
Last Update Date | 2014-06-29 |