NPI | 1235470188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95013044) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 749297) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9395239) | |
Enumeration Date | 2013-03-01 |
Last Update Date | 2024-10-03 |