| NPI | 1093362311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95035805) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 264369) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-07-07 |