| NPI | 1386456325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 326053) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-08-09 |