| NPI | 1932865441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP1135786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017559) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-09-15 |