NPI | 1619311594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 761701) |
Enumeration Date | 2013-04-23 |
Last Update Date | 2023-04-10 |