| NPI | 1518409861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: CA 95106177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005401) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2025-11-26 |