| NPI | 1558752329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1048153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001424) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2022-08-22 |