| NPI | 1225207913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95112703) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 748568) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2018-11-09 |