NPI | 1518454743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137142) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP137142) |
Enumeration Date | 2018-04-13 |
Last Update Date | 2020-09-16 |