| NPI | 1942952767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95025094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017631) |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2025-12-15 |