NPI | 1821468257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP126808) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126808) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2018-08-10 |