| NPI | 1275406811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95036943) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036943) |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-11-11 |