NPI | 1801497292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018467) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11013459) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013459) | |
Enumeration Date | 2020-11-03 |
Last Update Date | 2022-02-25 |