NPI | 1952877409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139396) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 106100) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2023-10-11 |