| NPI | 1578056453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95037121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1655315) |
| 163W00000X Registered Nurse (Licence: CA 95415333) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-09-22 |