NPI | 1649721242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131126) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131126) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2024-07-17 |