| NPI | 1275281446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014710) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-12-26 |