NPI | 1639644479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139123) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP139123) |
Enumeration Date | 2018-10-08 |
Last Update Date | 2024-03-27 |