NPI | 1538324272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 655760) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9218162) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2017-10-09 |