| NPI | 1023759883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95031469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1074024) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-12-10 |