NPI | 1619637162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP144974) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F11190299) |
Enumeration Date | 2021-12-25 |
Last Update Date | 2023-04-20 |