| NPI | 1710828066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 14291528-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95039131) |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-07-17 |