| NPI | 1134577364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036149) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95039993) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2025-07-29 |