NPI | 1952615023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134158) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15795) |
363LF0000X Nurse Practitioner, Family (Licence: MS 181220) | |
Enumeration Date | 2010-08-01 |
Last Update Date | 2024-04-02 |