NPI | 1831619014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134582) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 842702) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP134582) | |
Enumeration Date | 2017-06-20 |
Last Update Date | 2020-06-09 |