NPI | 1639683576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136011) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP136011) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2017-12-08 |