NPI | 1528451176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 127452) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 210184) |
Enumeration Date | 2015-03-06 |
Last Update Date | 2022-11-16 |