NPI | 1740830520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145443) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 881401) |
363LF0000X Nurse Practitioner, Family (Licence: CA NP95014749) | |
Enumeration Date | 2019-09-13 |
Last Update Date | 2022-09-06 |