| NPI | 1073773545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1080257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011803) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-08-05 |