| NPI | 1700364015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009517) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2026-04-20 |