| NPI | 1285158246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1106694) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007074) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2024-03-05 |