NPI | 1821594052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136578) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX AP136578) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2020-11-13 |