| NPI | 1376126912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95021697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021697) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2025-09-09 |