| NPI | 1093928491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 317070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 656491) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-10-08 |