| NPI | 1871293779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 95022528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022528) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2026-03-05 |