NPI | 1508416629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 810497) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP142062) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX AP142062) | |
Enumeration Date | 2019-09-19 |
Last Update Date | 2021-04-09 |