NPI | 1518150085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133866) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 712466) |
Enumeration Date | 2007-08-19 |
Last Update Date | 2024-08-21 |