| NPI | 1861116626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95029126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 834876) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1147398) | |
| 363L00000X Nurse Practitioner (Licence: TX 1147398) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2026-03-20 |