| NPI | 1639861875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F05230046) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-04-22 |