NPI | 1699054668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120713) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 801467) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2018-03-17 |