| NPI | 1063816254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95014584) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126538) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2023-03-07 |