| NPI | 1164465746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10099346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN592037) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2026-06-29 |