NPI | 1831535848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123627) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 767653) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2025-08-15 |