| NPI | 1861156192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95018298) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018298) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2025-09-03 |