NPI | 1659643237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121451) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 799032) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2017-02-06 |