| NPI | 1730531716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005021) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-07-06 |