NPI | 1649768953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137355) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11330) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2023-06-08 |