| NPI | 1528713054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95026285) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R197450) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2026-06-24 |