| NPI | 1962805952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034690) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2022-12-07 |