| NPI | 1932740552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1193067) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2026-02-27 |