| NPI | 1265908164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009197) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX ap138528) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2025-12-10 |