| NPI | 1407354392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 797297) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-02-02 |