| NPI | 1467753129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14410) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 577516) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 577516) | |
| 363L00000X Nurse Practitioner (Licence: TX 577516) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2013-11-04 |