NPI | 1720267826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117294) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 145296) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2018-07-24 |