| NPI | 1417587973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013481) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-12-04 |