NPI | 1528534435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138433) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138433) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP138433) | |
Enumeration Date | 2018-10-17 |
Last Update Date | 2024-12-05 |