NPI | 1619053980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134415) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F381089) |
Enumeration Date | 2006-10-30 |
Last Update Date | 2022-11-15 |