| NPI | 1144672528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95079347) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2025-09-17 |