| NPI | 1194570598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95037096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95216522) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2025-11-10 |