| NPI | 1295376663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95037109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95037109) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2026-04-20 |