NPI | 1568653525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115962) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02441) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2024-08-15 |