| NPI | 1144775719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006709) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 849560) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP133624) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-08-15 |