NPI | 1821414244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125370) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 770354) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2015-01-02 |