| NPI | 1124388103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 363L00000X) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2025-07-22 |