| NPI | 1043790397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1016792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009098) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-05-09 |