| NPI | 1104238963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125441) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-01-19 |