NPI | 1669993473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap134277) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP134277) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2024-11-20 |