| NPI | 1548499460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN584057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19105) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2025-11-17 |