| NPI | 1700015153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1034842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005828) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2024-09-03 |