| NPI | 1710331020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010898) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-127359) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-127359) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2026-07-23 |