| NPI | 1043845316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012358) |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-08-10 |