| NPI | 1790210284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006424) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 779095) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP133847) | |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2023-09-14 |