NPI | 1588281596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F01191189) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2022-01-24 |