| NPI | 1548035694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95197875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10048422) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2026-04-29 |