NPI | 1689124752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10469) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132170) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2020-06-25 |