NPI | 1700274909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004232) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126641) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2018-08-09 |