| NPI | 1366312902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95037273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11043359) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-12-18 |