NPI | 1700354511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145817) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9495459) |
Enumeration Date | 2018-11-09 |
Last Update Date | 2023-03-26 |