NPI | 1467860189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127140) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 86679) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2023-03-24 |