| NPI | 1275375081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026754) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95095640) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-12-18 |