| NPI | 1740813310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 947797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013631) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |