| 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 | 2019-10-24 |