| NPI | 1760070932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019680) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1028052) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 952414) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 1028052) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-01-27 |