| NPI | 1093327744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95142658) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2025-06-16 |