| NPI | 1720796378 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032165) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95245051) | 
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95245051) | |
| Enumeration Date | 2022-11-14 | 
| Last Update Date | 2025-05-14 |