NPI | 1528609708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144176) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TX 676482) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2019-12-02 |