| NPI | 1881658813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201083) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 154960) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9304053) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2324846) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC RN 154960) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2026-02-16 |