NPI | 1588998694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118224) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 515807) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2021-11-29 |