| NPI | 1497153282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95001164) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA FNP95001164) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX F1014527) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2017-05-18 |