NPI | 1831639020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133518) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704383832) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2023-02-28 |