NPI | 1841300514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX APN117495) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006996B) |
363LF0000X Nurse Practitioner, Family (Licence: TX 726721) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2022-07-21 |