NPI | 1770814576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 231343) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01831) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-01-19 |