| NPI | 1780133959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95008696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP132070) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2022-07-21 |