| NPI | 1871027565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006592) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-04-23 |