| NPI | 1477193688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1096271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95189064) |
| 363L00000X Nurse Practitioner (Licence: CA 95017547) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2023-01-14 |