NPI | 1689963720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120138) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 701416) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2020-11-24 |