| NPI | 1124559596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005369) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005369) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2026-09-16 |