| NPI | 1790334019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95036565) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201907994NP-PP) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-11-07 |