NPI | 1902059454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117026) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX AP117026) |
363LF0000X Nurse Practitioner, Family (Licence: TX 593219) | |
Enumeration Date | 2008-10-28 |
Last Update Date | 2024-11-21 |