NPI | 1750730172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP130509) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130509) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2022-10-21 |