| NPI | 1205479268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1070406) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95013112) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-09-01 |