| NPI | 1558165175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95352025) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-08-26 |