NPI | 1821333162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP123876) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 3109) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP123876) | |
363L00000X Nurse Practitioner (Licence: CA 3109) | |
363L00000X Nurse Practitioner (Licence: CA 159780) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 3109) | |
Enumeration Date | 2012-11-27 |
Last Update Date | 2021-03-24 |