| NPI | 1669364782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95036322) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95036322) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95036322) | |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-09-04 |