| NPI | 1356515761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 128161) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 503767) |
| 363L00000X Nurse Practitioner (Licence: CA NP 9614) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-02-22 |