| NPI | 1073076220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 140775) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2024-02-02 |