| NPI | 1700628385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1151509) |
| 363L00000X Nurse Practitioner (Licence: TX 1151509) | |
| 163W00000X Registered Nurse (Licence: CA 95187676) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-07-29 |