NPI | 1609166982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP123026) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2011008575) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2019-02-27 |