| NPI | 1750741062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 195012525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8522) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2025-12-11 |