NPI | 1467858282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP128850) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX AP128850) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2024-10-02 |