| NPI | 1528492162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 820311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 715254) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 23577) | |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2022-11-02 |