NPI | 1639196207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP104192) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 232857) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-02-17 |