NPI | 1639577711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126969) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 793427) |
Enumeration Date | 2014-12-05 |
Last Update Date | 2024-05-15 |