NPI | 1700288149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123848) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 800318) |
363L00000X Nurse Practitioner (Licence: TX AP1238458) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX 800318) | |
Enumeration Date | 2014-09-17 |
Last Update Date | 2024-09-08 |