NPI | 1588006308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123964) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 684446) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2024-04-30 |