| NPI | 1861182115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023549) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA 95023549) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023549) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2025-03-14 |