NPI | 1629409057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124803) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 509005) |
Enumeration Date | 2013-12-11 |
Last Update Date | 2021-06-11 |