NPI | 1992919484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 251159) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP107029) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2021-02-18 |