| NPI | 1023850930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95036834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1105662) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-11-10 |