| NPI | 1356186282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95033340) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11033759) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-12-12 |