| NPI | 1346605284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 811188) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2025-11-01 |