| NPI | 1992347298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95012777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1029864) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-11-10 |