| NPI | 1174265151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022034478) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-03-05 |