| NPI | 1487490447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1168404) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-05-01 |