| NPI | 1376064410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006721) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-02-24 |