| NPI | 1326858853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95128778) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95128778) |
| 163WC0400X Registered Nurse, Case Management (Licence: CA 95128778) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95128778) | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2026-10-07 |