| NPI | 1710412432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF95008183) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2018-10-09 |