NPI | 1831380773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 599838) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 03590) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2015-03-02 |