| NPI | 1043789159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013283) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013283) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 894223) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-12-06 |