| NPI | 1578942330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95002678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128115) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2020-05-29 |