| NPI | 1295495844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1061187) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2023-08-07 |