NPI | 1528489812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26061) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9234874) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP134689) | |
Enumeration Date | 2014-01-03 |
Last Update Date | 2019-11-04 |