NPI | 1649662594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127454) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09930) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2019-06-03 |