| NPI | 1881288272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015220) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 95015220) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2026-01-30 |