NPI | 1992042212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP122985) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2012039129) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2016-04-08 |