NPI | 1972808962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120320) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9270527) |
Enumeration Date | 2011-01-21 |
Last Update Date | 2024-05-01 |