| NPI | 1346613585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R167405) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2025-09-30 |