NPI | 1730594912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125741) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 709043) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2020-09-23 |