NPI | 1831545219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131085) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 760286) |
363L00000X Nurse Practitioner (Licence: TX AP131085) | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2024-11-01 |