NPI | 1700370129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 838669) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2019-12-12 |