NPI | 1821636168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143551) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP224179) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2024-05-29 |