| NPI | 1760337117 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 95134526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95038711) |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-06-04 |