| NPI | 1316627151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95026030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026030) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95165114) | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2026-02-05 |