NPI | 1497181606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141480) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000691) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2024-07-01 |