NPI | 1538656871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1126664) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9492846) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2024-05-14 |