| NPI | 1528425956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129875) |
| 363L00000X Nurse Practitioner (Licence: TX AP129875) | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2021-12-08 |