| NPI | 1851768667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005670A) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2026-01-30 |