| NPI | 1275114704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028136) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0998572) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2026-05-08 |