| NPI | 1306421128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95026691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95229135) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2025-06-04 |