| NPI | 1487104758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019516) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP125520) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP125520) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2026-07-01 |