| NPI | 1326645607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95033113) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL 9454685) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2025-08-05 |