NPI | 1639575582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP125531) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 290118) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2024-05-08 |