| NPI | 1356887780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95005502) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2025-07-08 |