| NPI | 1700080975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 693810) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 21450) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2026-07-21 |