| NPI | 1154254720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95040037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95122715) |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-08-02 |