| NPI | 1952855488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009338) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131830) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2018-07-09 |