| NPI | 1578126595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1053577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006062) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2022-05-25 |