| NPI | 1730582826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001077) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 950001077) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2025-05-14 |