| NPI | 1265291082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 273009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95037350) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2025-12-14 |