| NPI | 1154342558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007703) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3099232) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP 127168) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN 19800) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-04-08 |