| NPI | 1346998838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95037511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95108112) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-12-30 |