| NPI | 1023399557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95031073) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 336902) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2026-05-26 |