| NPI | 1366884520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 6420) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA14895) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2026-05-28 |