| NPI | 1033625801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP137768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA F06170113) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2025-02-04 |