| NPI | 1013478569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95207424) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95207424) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 60704) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-10-02 |