NPI | 1770834947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 788220) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 788220) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2014-11-20 |