| NPI | 1295545895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95031710) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA F08240146) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-04-14 |