NPI | 1750411005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP113570) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 710722) |
363L00000X Nurse Practitioner (Licence: TX 710722) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2021-07-16 |