| NPI | 1932480365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 1212206655) |
| 363L00000X Nurse Practitioner (Licence: OR 10010360) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2025-07-23 |