NPI | 1699218636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011013) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132430) |
363LF0000X Nurse Practitioner, Family (Licence: ND R43934) | |
Enumeration Date | 2016-11-23 |
Last Update Date | 2025-09-24 |