NPI | 1922417385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1032931) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95000546) |
163W00000X Registered Nurse (Licence: CA 711237) | |
Enumeration Date | 2014-08-10 |
Last Update Date | 2022-10-20 |