| NPI | 1558166165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95031345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030142) |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-08-09 |