| NPI | 1851431290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021316) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018905) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R172924) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2026-04-15 |