NPI | 1922142181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124271) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124271) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP124271) | |
Enumeration Date | 2007-02-19 |
Last Update Date | 2024-06-12 |