| NPI | 1467159921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1101642) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2026-06-02 |