NPI | 1972889566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1076810) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305803) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2024-04-23 |