NPI | 1588076087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1089257) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9298367) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2024-04-25 |