NPI | 1619365988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP131847) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19523) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2023-07-15 |