NPI | 1457797797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 774827) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP123361) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2023-07-13 |