NPI | 1528332269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 741407) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 741407) |
163WH0200X Registered Nurse, Home Health (Licence: TX 741407) | |
Enumeration Date | 2012-02-27 |
Last Update Date | 2013-08-05 |