NPI | 1528450418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146059) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000184677) |
363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024150) | |
Enumeration Date | 2015-03-02 |
Last Update Date | 2024-06-18 |