NPI | 1497284533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03368) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133758) |
Enumeration Date | 2017-06-11 |
Last Update Date | 2025-02-28 |