NPI | 1902347040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO Ap133150) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133150) |
Enumeration Date | 2017-03-08 |
Last Update Date | 2021-04-07 |