NPI | 1902348253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132373) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP132373) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2022-08-05 |