| NPI | 1578127767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP141020) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-05-17 |