| NPI | 1649837907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011704) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10044077) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2025-10-20 |