| NPI | 1891029492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95009279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 862597) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP134590) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2023-06-21 |