| NPI | 1881347227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95033684) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 30965) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 30965) | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2026-02-18 |