NPI | 1548815442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143229) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F06190342) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2022-11-30 |