| NPI | 1619750965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95031642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.012197) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2025-03-31 |