NPI | 1952787905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000601) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP3898) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2022-05-05 |