NPI | 1689116907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132642) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 814906) |
363LF0000X Nurse Practitioner, Family (Licence: TX 814906) | |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102845-C-NP) | |
Enumeration Date | 2016-11-17 |
Last Update Date | 2024-09-09 |