| NPI | 1558738435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001212) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 95001212) |
| 207R00000X Internal Medicine (Licence: CA 95001212) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2025-12-10 |