NPI | 1891095444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119691) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F0710483) |
Enumeration Date | 2010-10-29 |
Last Update Date | 2025-08-08 |