| NPI | 1043528987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20170) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 235025) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2026-05-22 |