| NPI | 1346587680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP129659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 796624) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 22949) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2016-10-22 |