| NPI | 1598138174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000093) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95000093) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000093) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2025-12-30 |