| NPI | 1538085410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95041005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95443869) |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-09-21 |