NPI | 1871008045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP136143) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 721960) |
Enumeration Date | 2017-12-09 |
Last Update Date | 2023-01-19 |