NPI | 1679990352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125147) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 787765) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95002030) | |
Enumeration Date | 2014-03-19 |
Last Update Date | 2020-07-29 |