NPI | 1871036202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132630) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03187) |
Enumeration Date | 2016-12-03 |
Last Update Date | 2023-06-28 |