NPI | 1952314213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114967) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 700867) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2024-09-24 |