| NPI | 1669034120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141692) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-07-20 |