NPI | 1720452865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128487) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 114221-23) |
Enumeration Date | 2015-11-29 |
Last Update Date | 2025-06-23 |