| NPI | 1912557786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142950) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2021-04-09 |