| NPI | 1902949670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 712901) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-07-11 |