| NPI | 1568176782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: CA 95214333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022838) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2026-02-24 |