| NPI | 1740157478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95037365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 339687) |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2026-06-09 |