NPI | 1891194908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 063589-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141675) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2020-11-18 |