NPI | 1992034391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118218) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 502558) |
Enumeration Date | 2009-12-14 |
Last Update Date | 2024-02-26 |