NPI | 1962805952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137273) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034690) |
363LF0000X Nurse Practitioner, Family (Licence: FL TPAN3168) | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2025-03-24 |