NPI | 1639472822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119562) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011195) |
363LF0000X Nurse Practitioner, Family (Licence: TX 744059) | |
Enumeration Date | 2010-12-10 |
Last Update Date | 2016-05-23 |