NPI | 1518479542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136159) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX AP136159) |
363L00000X Nurse Practitioner (Licence: TX AP136159) | |
363L00000X Nurse Practitioner (Licence: FL 9471546) | |
Enumeration Date | 2017-10-31 |
Last Update Date | 2024-06-04 |