NPI | 1720508872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133937) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133937) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2018-06-06 |