| NPI | 1144505835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 635711) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2015-06-23 |