NPI | 1831567510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP126080) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126080) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2023-08-09 |