NPI | 1487251377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1015390) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1015390) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1015390) | |
Enumeration Date | 2020-10-05 |
Last Update Date | 2020-10-05 |