| NPI | 1922417385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1032931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 711237) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000546) | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2026-06-18 |