NPI | 1811410392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134237) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 134237) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2024-03-11 |