NPI | 1982113874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014698) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008850) |
163WH1000X Registered Nurse, Hospice (Licence: CA 95131743) | |
163WH1000X Registered Nurse, Hospice (Licence: AZ 115860) | |
Enumeration Date | 2017-09-24 |
Last Update Date | 2022-07-19 |