| NPI | 1376842005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1117425) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2024-07-10 |