NPI | 1922561083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028209) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F12200230) |
Enumeration Date | 2019-04-07 |
Last Update Date | 2021-01-22 |