NPI | 1750804118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001056) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134616) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2019-01-30 |