NPI | 1093201568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023011) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137937) |
Enumeration Date | 2018-07-07 |
Last Update Date | 2024-08-07 |