NPI | 1760995633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP135823) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135823) |
Enumeration Date | 2017-11-14 |
Last Update Date | 2023-07-17 |