| NPI | 1275018210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138855) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-11-08 |