| NPI | 1881222560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006294) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-08-21 |