| NPI | 1275199705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95010208) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 1275199705) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-12-17 |