| NPI | 1659763589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128102) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2019-02-06 |