NPI | 1659860674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138056) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 779267) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2021-11-11 |