NPI | 1588874473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115840) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 655217) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2023-11-13 |