| NPI | 1114239902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002997) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APN001201) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2025-01-23 |