| NPI | 1407314107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138396) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95038285) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0102760) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2026-03-20 |