NPI | 1699436329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1069517) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61263641) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017384) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1069517) | |
Enumeration Date | 2022-01-05 |
Last Update Date | 2023-04-28 |