| NPI | 1255804365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F10181252) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95010844) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2026-08-01 |