| NPI | 1467645234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 735840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028868) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2024-04-04 |