NPI | 1982837811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP137487) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 782593) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2024-05-31 |