| NPI | 1104363449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004383) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130917) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |