| NPI | 1568318400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 335831) |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |