| NPI | 1649868944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 7357) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2025-11-04 |