| NPI | 1194231795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1100089) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61616357) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2025-08-29 |