NPI | 1821570458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP142838) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60896000) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2021-06-30 |