NPI | 1730706953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1003563) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1003563) |
363LF0000X Nurse Practitioner, Family (Licence: TX F05200309) | |
Enumeration Date | 2020-07-03 |
Last Update Date | 2021-09-29 |