| NPI | 1821333162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP123876) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 3109) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP123876) | |
| 363L00000X Nurse Practitioner (Licence: CA 3109) | |
| 363L00000X Nurse Practitioner (Licence: CA 159780) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 3109) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2021-03-24 |