| NPI | 1285349746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95034267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN251533) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN251533) | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2026-05-13 |