| NPI | 1447817184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95010301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138575) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2025-06-03 |