NPI | 1831674555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138094) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 54066) |
Enumeration Date | 2018-09-27 |
Last Update Date | 2021-09-30 |