NPI | 1891104576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122365) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 733478) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2021-07-13 |