| NPI | 1629098900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 295062) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 295062) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 295062) | |
| 364S00000X Clinical Nurse Specialist (Licence: CA 295062) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2026-01-13 |