| NPI | 1801430921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030875) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: HI 72156) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2025-06-25 |