NPI | 1518362896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08025) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126562) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2024-05-17 |