| NPI | 1467911495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95034078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95311152) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP141031) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-10-16 |