| NPI | 1447095518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95039549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95351066) |
| 163W00000X Registered Nurse (Licence: MA RN2380539) | |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2026-06-18 |