| NPI | 1376245100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1075254) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2026-08-13 |