| NPI | 1144847328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1130234) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-12-05 |