| NPI | 1063802437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016513) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2026-09-22 |