| NPI | 1013578491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95025764) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP142008) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-10-12 |