| NPI | 1750143392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95027180) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70090291) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2026-02-24 |