| NPI | 1811415607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95018790) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308326-1) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2025-11-26 |