| NPI | 1912569708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142447) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2026-03-30 |