| NPI | 1275929325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95028591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN2285831) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2025-08-27 |