| NPI | 1811726276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95031577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95281489) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2026-01-13 |