| NPI | 1023338811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9162994) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020852) |
| 363L00000X Nurse Practitioner (Licence: TX 1088741) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN9162994) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-08-05 |