| NPI | 1639547607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003013) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2017-02-10 |