| NPI | 1609766088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95035928) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95035928) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2026-04-27 |