NPI | 1659734622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130366) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 796570) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2017-05-10 |