| NPI | 1629657929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 4154-0) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-04-24 |