| NPI | 1770082034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008458) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F02180086) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2025-04-07 |