| NPI | 1154885853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95010936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP138480) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |