| NPI | 1386509065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95038400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95304355) |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2026-02-09 |