| NPI | 1760995286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133147) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |