| NPI | 1487119491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5349909-4405) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2025-03-13 |