| NPI | 1487991162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1182192) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2026-06-10 |