NPI | 1568963015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136358) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Ap136358) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2021-07-28 |