| NPI | 1568024339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010781) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2021-10-08 |