NPI | 1871153734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011973) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139432) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP139432) | |
Enumeration Date | 2019-06-13 |
Last Update Date | 2019-06-13 |