NPI | 1609146448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 746014) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2021-12-01 |