NPI | 1902415722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144782) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 756163338) |
Enumeration Date | 2020-07-28 |
Last Update Date | 2022-05-25 |