| NPI | 1306324090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019054) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2026-05-27 |