| NPI | 1396238929 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008743) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP220464) | 
| Enumeration Date | 2018-06-08 | 
| Last Update Date | 2025-03-24 |