| NPI | 1477953388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1082348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017828) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-02-16 |