NPI | 1952600660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117389) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 658877) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2017-02-23 |