NPI | 1649684598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX AP125469) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125469) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2023-12-18 |