| NPI | 1184478851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1157639) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-24 |