NPI | 1649754573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137819) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX ap137819) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2019-08-02 |