NPI | 1891046801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 232360) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 741402) |
363LF0000X Nurse Practitioner, Family (Licence: AR 229615) | |
Enumeration Date | 2012-10-01 |
Last Update Date | 2024-10-19 |