NPI | 1508166810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004964) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP121779) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2023-02-02 |