| NPI | 1033259304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 460713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF 9829) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-08-17 |