| NPI | 1932823036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028725) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 872049) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1130248) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-02-09 |