| NPI | 1811508567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1156028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95033245) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2025-09-04 |