| NPI | 1497183560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 23743) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: CA 23743) |
| 208D00000X General Practice (Licence: CA 23743) | |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2026-06-03 |