| NPI | 1891344917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012290) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95012290) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2026-08-10 |