NPI | 1710518071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP144794) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP144794) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2023-11-29 |