| NPI | 1124835079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA F10241271) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA F10241271) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA F10241271) | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-05-22 |